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EASTER SEALS BLAKE FOUNDATION
NPI 1932530797
Community/Behavioral Health in Tucson, AZ

Active since December 04, 2013CLIA 03D2244586 · Waiver
7756 E BROADWAY BLVD STE C100, TUCSON, AZ 85710(520) 327-1529(520) 514-9878 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2023, Aug 3, 2021, Nov 3, 2016 (3 updates tracked since 2016).

About Easter Seals Blake Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTER SEALS BLAKE FOUNDATION (NPI 1932530797), doing business as Blake Foundation, is a healthcare organization registered as a community/behavioral health in Tucson, Arizona and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Marissa S Arendt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1932530797
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEASTER SEALS BLAKE FOUNDATION
Location Address7756 E BROADWAY BLVD STE C100Tucson, AZ 85710-4022
Mailing Address7756 E Broadway Blvd Ste A100Tucson, AZ 85710-4022 · (520) 449-8555 · Fax (520) 204-6808
Phone(520) 327-1529
Fax(520) 514-9878
Organization SubpartNo
Authorized OfficialMarissa S ArendtCfo · (520) 327-1529
Enumeration DateDecember 4, 2013
Last NPPES UpdateFebruary 22, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
✔ NPI 1932530797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
7756 E BROADWAY BLVD STE C100, Tucson, AZ 85710
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Other Names 1

Former Legal Business NameBlake Foundation

Other Identifiers 3

OtherOTC-6111AZ · Az Dept Of Health Services License
Other885160AZ · Ahcccs Provider
Medicaid885160AZ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Easter Seals Blake Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Easter Seals Blake Foundation, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor17
Clinical Social Worker10
Nurse Practitioner7
Psychiatry4
Marriage and Family Therapist3

Nearest to this location (20)

See all 41
Sally Boeve, M.D.
Psychiatry
NPI 1053527077
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 327-1529
✔ PECOSSame address
Roberta Buss
Clinical Social Worker
NPI 1609752880
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 327-1529
✔ PECOS✔ Accepts MedicareSame address
Shannon Evans, LCSW
Clinical Social Worker
NPI 1750115788
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 327-1529
✔ PECOSSame address
Steven Herron, MD
Psychiatry
NPI 1295700953
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 327-1529
✔ PECOS✔ Accepts MedicareSame address
Michelle Jeannette, M.D.
Psychiatry
NPI 1861469322
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 327-1529
✔ PECOS✔ Accepts MedicareSame address
Steven Mlodzinski, CNP
Nurse Practitioner
NPI 1124773478
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 449-8555
✔ PECOS✔ Accepts MedicareSame address
Megumi Rubin, FNP
Nurse Practitioner
NPI 1740633825
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 327-1529
✔ PECOS✔ Accepts MedicareSame address
Kristin Shilson, APRN
Nurse Practitioner
NPI 1700436375
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 327-1529
✔ PECOS✔ Accepts MedicareSame address
Katherine Weyker
Mental Health Counselor
NPI 1447123211
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 327-1529
✔ PECOSSame address
Courtney Wofford, LPC
Mental Health Counselor
NPI 1821733809
7750 E BROADWAY BLVD STE A100
Tucson, AZ 85710
(520) 327-1529
✔ PECOSSame address
Kristen Coffey, LPC
Mental Health Counselor
NPI 1265048029
908 N BELVEDERE AVE APT 3
Tucson, AZ 85711
(262) 424-8711
✔ PECOS✔ Accepts Medicare4.2 mi
Rena Sabey, MSW
Clinical Social Worker
NPI 1962876805
140 N TUCSON BLVD
Tucson, AZ 85716
(520) 881-1292
✔ PECOS✔ Accepts Medicare6.3 mi
Carrie Reed
Clinical Social Worker
NPI 1073317616
153 S PLUMER AVE
Tucson, AZ 85719
(520) 327-6779
✔ PECOS6.6 mi
Courtney Tapia-Acosta, LPC
Mental Health Counselor
NPI 1558973412
153 S PLUMER AVE
Tucson, AZ 85719
(520) 240-6263
✔ PECOS6.6 mi
Loretta Kramer, PMHNP-BC,LPC, LISAC
Nurse Practitioner
NPI 1386700441
3038 E FORT LOWELL RD
Tucson, AZ 85716
(520) 744-3131
✔ PECOS✔ Accepts Medicare6.7 mi
Merielle Robinson, MC, LPC
Mental Health Counselor
NPI 1396808457
2030 E BROADWAY BLVD SUITE 15
Tucson, AZ 85719
(520) 907-4789
✔ PECOS✔ Accepts Medicare6.7 mi
Kaila Moles, MA
Mental Health Counselor
NPI 1497228654
1735 E FORT LOWELL RD STE 6
Tucson, AZ 85719
(520) 329-2704
✔ PECOS7.6 mi
Ian Chapman
Mental Health Counselor
NPI 1073077632
1 S CHURCH AVE STE 1200
Tucson, AZ 85701
✔ PECOS✔ Accepts Medicare8.6 mi
Shayna White, LCSW
Clinical Social Worker
NPI 1083336432
310 S MEYER AVE
Tucson, AZ 85701
(520) 209-2492
✔ PECOS8.6 mi
Julie Largent
Clinical Social Worker
NPI 1972431724
310 S MEYER AVE
Tucson, AZ 85701
(520) 527-9358
✔ PECOS8.6 mi
See all 41 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2244586

Easterseals Blake Foundation · Tucson, AZ
Active · expires Dec 1, 2027
CLIA Number03D2244586
Laboratory TypeOtc
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorSally A. Boeve
Laboratory Phone(520) 449-8555
Laboratory LocationEasterseals Blake Foundation7750 E Broadway Blvd Ste A100, Tucson, AZ 85710
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Easter Seals Blake Foundation's NPI number?

The NPI number for Easter Seals Blake Foundation is 1932530797. It was assigned to this organization in the NPPES registry on December 4, 2013. The provider was formerly known as Blake Foundation.

Where is Easter Seals Blake Foundation located?

Easter Seals Blake Foundation is located at 7756 E Broadway Blvd Ste C100, Tucson, AZ 85710. The listed phone number is (520) 327-1529.

What is Easter Seals Blake Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Easter Seals Blake Foundation enrolled in Medicare?

Yes. Easter Seals Blake Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Easter Seals Blake Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 5 Medicare specialties reassign their Medicare billing to Easter Seals Blake Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (17), Clinical Social Worker (10) and Nurse Practitioner (7). Of these, 10 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Easter Seals Blake Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2244586) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Easter Seals Blake Foundation was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.